The knowledge, attitude and performance of nurses, knowledge and behavior of mothers in relation to the fall of a child hospitalized in Azari Mardani Medical Training Center, year 1401.

Abstract

Abstract Introduction: Hospitalization of a child is stressful for the child and the family all over the world. Children are exposed to various injuries in the hospital due to their age characteristics and inability to make decisions and not having a proper understanding of the environment. One of the most important injuries that threaten this age group in hospitals is falls which is usually ignored and not reported due to the occurrence of falls related to the developmental stage at this age. On the other hand, mothers and nurses are the people who have the most contact with the hospitalized child. Their knowledge and behavior in this case will have effective results in the child's safety. Objective: This study was conducted with the aim of: a) determining the knowledge, attitude and performance of nurses, b) determining the knowledge and behavior of mothers regarding the fall of hospitalized children. Metodology: The present study is a cross-sectional descriptive study that was conducted with the participation of 163 mothers and 138 nurses who met the inclusion criteria from January 1402 to April 1403 at Azari Men's Medical Training Center in Tabriz. After explaining the objectives of the study and obtaining informed consent from the participants, the questionnaire of knowledge, attitude and performance of nurses regarding child falls was provided to them, and the questionnaire of knowledge and behaviors of mothers regarding the fall of hospitalized children was also completed by the assistant of the researcher through face-to-face interview. After collecting, the data was statistically analyzed with spss version 21 software. Findings: The average knowledge score of nurses was equal to 11.73±1.71 and most of them had knowledge at an appropriate level. Also, the average score of nurses' attitudes was 32.94±5.43, which showed that the majority of them have a positive attitude towards the subject. Also, the nurses' performance regarding falling from the bed was good in most cases and had an average of 39.8±10.6. The nurses who worked in the morning and had a fixed shift had a higher knowledge score than other nurses. The results of the present study indicate that there is a statistically significant and positive relationship between nurses' attitude and their performance status (p<0.001) and a higher attitude of nurses improves their performance, but there is no relationship between knowledge and attitude and performance. Regardless of the demographic factors, the mothers had a relatively good level of knowledge (5.82±1.76) and the mothers' behavior was at a relatively good level with an average of 23.18±4.56, which could be due to the learned previous experiences and training for nurses upon arrival. No statistically significant relationship was found between mothers' knowledge and their caring behavior (p=0.41). Also, the results of the present study showed that having the experience of a child falling has improved preventive behaviors in mothers, but participation in the training course had no effect on the knowledge and behavior scores of mothers. General conclusion: The results of the study indicated that the level of knowledge, attitude and performance of nurses was at a good level, the knowledge of mothers was relatively good, but mothers were unfamiliar with some fall prevention behaviors, which shows the need for training in this area.